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October 3, 1953


JAMA. 1953;153(5):493. doi:10.1001/jama.1953.02940220037011

During a period of three years Jackson and her associates1 observed a group of 140 children aged 3 to 8 years before and after they were subjected to tonsillectomy in an effort to learn whether and under what circumstances this surgical experience was associated with behavior changes that indicated emotional trauma. They devised a method of study that consisted of conferences between a psychiatric social worker and the mother and child, at which time certain facts about the child's behavior and emotional status were determined. The interviews took place before tonsillectomy, in the period immediately after the surgical procedure, and after a lapse of three months. The information obtained during the various interviews was then studied by a committee consisting of three pediatricians, the social worker who conducted the interview, and the anesthetist in attendance at the operation. In addition, two psychoanalysts, a psychologist, and a public health pediatrician